Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.84 / $149.84 / $149.84	Facility		$149.84	$149.84	$149.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $176.53 / $207.05	Professional		$149.84	$176.53	$207.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.04 / $300.00 / $856.83	Professional		$259.04	$300.00	$856.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Facility		$306.00	$306.00	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $441.19 / $501.35	Professional		$306.00	$441.19	$501.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.58 / $207.05 / $320.95	Facility		$157.58	$207.05	$320.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.95 / $242.44 / $320.95	Facility		$170.95	$242.44	$320.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.01 / $262.01 / $419.22	Professional		$262.01	$262.01	$419.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $55.00 / $85.00	Professional		$16.59	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.58 / $207.05 / $320.95	Facility		$157.58	$207.05	$320.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $638.92 / $891.00	Professional		$291.36	$638.92	$891.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,433.71 / $1,433.71 / $1,433.71	Facility		$1,433.71	$1,433.71	$1,433.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $1,161.14 / $1,655.67	Professional		$306.00	$1,161.14	$1,655.67
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $390.00	Professional		$300.00	$300.00	$390.00